OPEN Doors Initiative Contribution Application 1 Profile2 Organization3 Impact4 Help Your Name* First Last Your Email* Enter Email Confirm Email Position*Your title with the organization you are registering.Your Phone*A number we can reach you at.Name of Organization*What name is your organization best recognized by?Organization Type*Please select the type of organization.Select ...Traditional Public SchoolPublic Charter SchoolPrivate SchoolPublic Magnet SchoolChurch or Community CenterNon Profit OrganizationOrganization's PhonePlease include the area code.Organization's Website*What is the URL to your organization's website?Organization's Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Save and Continue Later When do you need to purchase devices?*Immediately (30 days or less)Within 3 monthsNo timeline set.What is your technology budget for purchasing devices?*Please enter a number greater than or equal to 1.Would you like to prequalify?*Our program offers to bridge the gap for organizations who have an immediate need for devices. With a $50 or less contribution per student from your budget, our OPEN Doors Initiative can cover the rest of the cost.YesNoHow many student devices do you need (ideally)?*If funding was not an object how many student devices is your school ready to utilize effectively.Please enter a number greater than or equal to 1.How many teacher devices do you need (ideally)?*If funding was not an object how many teacher devices is your school ready to utilize effectively.Please enter a number greater than or equal to 1.Student population:*How many students are in your organization?Please enter a number greater than or equal to 1.Teacher population:*How teachers are in your organization?Please enter a number greater than or equal to 1. Save and Continue Later V.I.C.T.O.R.Y. PlanV - Victory fundraiser for the OPEN Doors Movement. I will help pay forward the impact by holding a fundraiser. I - Inspire and Empower students through the OPEN Doors Challenge.* I will share the OPEN Doors laptop scholarships by email to families so students can apply to get their own laptop for home. C - Connect people and organizations to our program. I want to refer other schools that can benefit from the program. Please provide the name, email, and phone number for the person you wish to refer.NamePhonee-mail T - Take action in your community. I will share the OPEN Doors Challenge with other community leaders and organizations that impact our youth. O - Old technology contributions. I will utilize your electronics recycling and buy back services. R - Resources to empower the movement. I will contribute resources that can benefit other students. Y - You are the Key to help us OPEN Doors I will invite people to make a $9/monthly contribution to help this effort. Other ways of helpingSend us your own unique ideas, thoughts, or ways that you believe will aid our effort. Save and Continue Later Signature*I hereby stand with Adrian Martinca and Technology for the Future, because I believe that it is necessary to create equal access to 'Technology for the Future' of all students to be successful.Disclosure*All photos and any other materials submitted to Technology for the Future, here of “T4TF” become the sole and exclusive property of T4TF and cannot be returned at any time. By submitting Materials, you agree T4TF may, but is not obligated to, use the Materials in connection with our movement, in any way, in any medium, worldwide, in perpetuity. Further, you warrant all Materials are 100% original and do not violate the right of privacy or publicity of, or constitute a defamation against, any person or entity; that the Materials will not infringe upon or violate the copyright or common law rights or any other rights of any person or entity; and that there are and will be no encumbrances, liens, conditions or restrictions whatsoever upon or affecting such Materials.You agree to indemnify T4TF and affiliates for all damages and expenses (including reasonable attorney's fees) arising out of any breach or failure of the warranties made herein. I understand, and agree to, the disclosure above. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.